Individual
CAROL ANNETTE QUAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4381 S EASON BLVD STE 202, TUPELO, MS 38801-6585
(662) 377-6609
(662) 377-6614
Mailing address
175 TIMBERLANE DR, TUPELO, MS 38801-0600
(276) 206-4526
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R871939
MS
Other
Enumeration date
08/27/2012
Last updated
03/01/2021
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